Stylet apparatuses and methods of manufacture

ABSTRACT

An elongated medical device includes a core element, a polymer member, a closure element, and a permanent magnetic element. The core element may have a distal region including a first region with a diameter greater than a diameter of a second region, the second region distal of the first region and terminating at a core element distal end. The polymer member may be circumferentially disposed about an entire length of the core element and extending distal of the core element distal end. The closure element may be affixed to a distal end of the polymer member. The permanent magnetic element may be disposed along the second region proximal to the core element distal end, and may include a plurality of permanent magnetic elements spaced apart along the second region.

PRIORITY

This application is a division of U.S. patent application Ser. No.11/466,602, filed Aug. 23, 2006, now U.S. Pat. No. 8,784,336, whichclaims the benefit of U.S. Provisional Application No. 60/710,760, filedAug. 24, 2005, and U.S. Provisional Application No. 60/745,109, filedApr. 19, 2006, the disclosure of each of which is incorporated, in itsentirety, by this reference.

BACKGROUND

One function of a stylet is to facilitate the navigation of a catheter,cannula, hollow needle, or the like within a select portion of apatient, such as within a patient's vasculature, by providing (i.e.,imparting) rigidity or stiffness to the catheter. For example, a styletmay comprise a slender, solid, and/or hollow metal member that, whenpositioned within a lumen of a catheter, stiffens the cathetersufficiently to allow for placement of the catheter within the patient.

BRIEF SUMMARY

In at least one embodiment, a stylet capable of being at least partiallydisposed within a lumen of a device may comprise an elongated bodycomprising a proximal end, a distal end, and at least one magneticmaterial. The elongated body may also further comprise at least one coreelement, a tubular member circumferentially disposed about at least aportion of the core element, and/or a support member circumferentiallydisposed about at least a portion of the core element. A matrix materialmay also be disposed between the core element and the tubular member toretain the magnetic material within the elongated body.

In certain embodiments, the core element may comprise a first region, asecond region having a diameter that is less than a diameter of thefirst region, and a transition region coupling the second region to thefirst region. The magnetic material may be circumferentially disposedabout at least a portion of the second region of the core element,disposed within the tubular member, positioned proximate the distal endof the elongated body of the stylet, or otherwise positioned within theelongated body of the stylet. For example, in certain embodiments, atleast one of the core element, the tubular member, and the supportmember may comprise a magnetic region and a non-magnetic region. Inaddition, the magnetic material may comprise at least one permanentmagnet coupled to the elongated body of the stylet.

According to certain embodiments, the tubular member may becircumferentially disposed about at least a portion of the supportmember. In an additional embodiment, the support member may becircumferentially disposed about at least a portion of the tubularmember. In addition, the tubular member may comprise a reinforcingelement and/or a groove defined within the tubular member. The elongatedbody may also comprise at least one core element and a coatingcircumferentially disposed about at least a portion of the core elementand at least a portion of the magnetic material.

In certain embodiments, a method of manufacturing a stylet may compriseforming an elongated body comprising a proximal end, a distal end, andat least one magnetic material. In at least one embodiment, the step offorming the elongated body may comprise magnetizing at least a portionof the elongated body. The step of forming the elongated body may alsofurther comprise disposing a support member about at least a portion ofthe core element and/or disposing a matrix material between the coreelement and the tubular member to retain the magnetic material withinthe elongated body. In addition, the step of forming the elongated bodymay comprise providing at least one core element, disposing a tubularmember about at least a portion of the core element, and disposing themagnetic material within the tubular member.

In at least one embodiment, a catheter assembly may comprise a catheterdefining a lumen and at least one stylet at least partially disposedwithin the lumen of the catheter. In certain embodiments, the at leastone stylet may comprise an elongated body comprising a proximal end, adistal end, and at least one magnetic material.

Features from any of the above mentioned embodiments may be used incombination with one another in accordance with the instant disclosure.In addition, other features and advantages of the instant disclosurewill become apparent to those of ordinary skill in the art throughconsideration of the ensuing description, the accompanying drawings, andthe appended claims.

BRIEF DESCRIPTION OF THE DRAWINGS

The accompanying drawings illustrate a number of exemplary embodimentsand are a part of the specification. Together with the followingdescription, these drawings demonstrate and explain various principlesof the instant disclosure.

FIG. 1 is a schematic view of an exemplary stylet according to at leastone embodiment;

FIG. 2 is a partial cross-sectional side view of an exemplary styletcomprising a plurality of magnetic elements according to at least oneembodiment;

FIG. 3 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 4 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 5 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 6 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 7 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 8 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 9 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 10 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 11 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 12 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 13 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 14 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 15 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 16 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 17 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 18 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 19 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 20 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 21 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 22 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 23 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 24 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 25 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 26 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 27 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 28 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 29 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 30 is a partial cross-sectional side view of an exemplary styletaccording to an additional embodiment;

FIG. 31 is a partial cross-sectional end view of an exemplary styletaccording to an additional embodiment;

FIG. 32 is a partial cross-sectional end view of an exemplary styletaccording to an additional embodiment;

FIG. 33 is a partial cross-sectional end view of an exemplary styletaccording to an additional embodiment;

FIG. 34 is a partial cross-sectional end view of an exemplary styletaccording to an additional embodiment;

FIG. 35 is a partial cross-sectional end view of an exemplary catheterassembly according to at least one embodiment; and

FIG. 36 is a perspective view of an exemplary catheter assemblyaccording to at least one embodiment.

Throughout the drawings, identical reference characters and descriptionsindicate similar, but not necessarily identical, elements. While theexemplary embodiments described herein are susceptible to variousmodifications and alternative forms, specific embodiments have beenshown by way of example in the drawings and will be described in detailherein. However, one of skill in the art will understand that theexemplary embodiments described herein are not intended to be limited tothe particular forms disclosed. Rather, the instant disclosure coversall modifications, equivalents, and alternatives falling within thescope of the appended claims.

DETAILED DESCRIPTION

FIG. 1 is a schematic view of an exemplary stylet 10 according to atleast one embodiment. For purposes of this disclosure, the term “stylet”shall be broadly construed to include any form or type of structurecapable of being at least partially positioned or disposed within alumen of a catheter, cannula, hollow needle, or other suitable device toprovide (i.e., impart) increased stiffness or rigidity to the device. Asseen in FIG. 1, in at least one embodiment, stylet 10 may comprise anelongated body 11 extending between a proximal end 14 and a distal end16. Elongated body 11 may be formed in any number of shapes and sizes.For example, in certain embodiments, elongated body 11 may have asubstantially constant cross-sectional size, taken transverse to thelongitudinal axis of elongated body 11. Elongated body 11 may also havea length L extending from proximal end 14 to distal end 16, as shown inFIG. 1. In certain embodiments, a tab element 12 may also be provided atthe proximate end 14 of elongated body 11 to provide a convenient andeasily graspable structure for a user to grasp when manipulating stylet10.

Elongated body 11 of stylet 10 may comprise any number or combination ofmaterials. For example, in at least one embodiment, and as discussed ingreater detail below, at least a portion of elongated body 11 maycomprise at least one magnetic material. In general, this magneticmaterial may comprise any type or form of magnetic material, includingboth permanent magnetic materials and electromagnetic materials. Forexample, in one embodiment, elongated body 11 of stylet 10 may comprisea rare-earth magnet (e.g., samarium cobalt and/or neodymium iron boron).In another embodiment, elongated body 11 of stylet 10 may comprise anAlNiCo magnetic material, a plastic magnetic material (e.g., PANiCNQ),or a ceramic magnetic material, such as barium ferrite (BaO₆Fe₂O₃) orstrontium ferrite (SrO₆Fe₂O₃) and iron oxide (Fe₃O₄). Elongated body 11of stylet 10 may also comprise, in certain embodiments, anelectromagnetic material, such as a solenoid, that generates a magneticfield upon application of an electric current.

As discussed in greater detail below, elongated body 11 of stylet 10 maycomprise both solid (including both pliant and rigid solids) ornon-solid magnetic materials. For example, elongated body 11 of stylet10 may comprise a magnetic material having a plurality of magneticparticles dispersed within a pliable material, such as a putty, polymer,silicone, highly viscous liquid, or any other suitable material. Inadditional embodiments, elongated body 11 of stylet 10 may comprise amagnetic material having a plurality of magnetic particles containedwithin a matrix, suspension, or slurry. This exemplary magneticsuspension or slurry may comprise any liquid (e.g., oil, water,glycerin, alcohol, polymers, or the like) in combination with any typeof magnetic material, such as particulate magnetic materials.

In at least one embodiment, exemplary stylet 10 may comprise a magneticmaterial that exhibits an observable dipole (e.g., an individualmagnetic dipole or a collective magnetic dipole exhibited by a pluralityof magnets), which may provide an indication of the position and/ororientation of the magnetic material and, therefore, the position and/ororientation of at least a portion of exemplary stylet 10. For example,stylet 10 may comprise a magnetic material having a magnetic dipolethat, when stylet 10 is inserted into a patient, may be detected fromoutside of the patient's body using detection technology (discussed ingreater detail below) to indicate the position and/or orientation ofstylet 10 within the patient's body. In many embodiments, the magneticmaterial of stylet 10 may exhibit a relatively high field strength for agiven volume so that the orientation of its magnetic dipole may beeasily detected.

Generally speaking, the poles of the magnetic material of stylet 10 maybe positioned or oriented in any number of ways. For example, the dipoleof the magnetic material of exemplary stylet 10 may either be orientedsubstantially parallel to the longitudinal axis of stylet 10 (i.e., theaxis extending from proximal end 14 to distal end 16 of stylet 10) orsubstantially perpendicular to the longitudinal axis of stylet 10. Inaddition, the north pole of the magnetic material of stylet 10 may bepositioned proximate to the distal end 16 of stylet 10, with the southpole of the magnetic material facing the proximate end 14 of stylet 10.

In general, any type or form of detection system may be used to detectthe dipole of the magnetic material of stylet 10 to provide anindication of the position and/or orientation of the magnetic materialand, therefore, the position and/or orientation of at least a portion ofexemplary stylet 10 positioned within a patient's body. Examples ofsuitable detection apparatuses include, without limitation, the variousdetection apparatuses disclosed in U.S. Pat. Nos. 5,879,297; 6,129,668;6,216,028; and 6,263,230 to Haynor et al. (“the Haynor Patents”), theentirety of each of which is incorporated, in its entirety, by thisreference. For example, an exemplary detection apparatus may comprise aplurality of magnetic sensors oriented in a known direction to generatea set of signals based on the strength and direction of the magneticfield generated by the magnetic material (or plurality of magneticmaterials) of stylet 10. A processor may then calculate an estimatedposition of the magnetic material of stylet 10 in a three-dimensionalspace based on the predicted and actual magnetic field strength of themagnetic material derived from the set of signals generated by themagnetic sensors. For example, the location and/or orientation of themagnetic material of stylet 10 may be calculated by comparing thedifference between the predicted magnetic field strength and the actualmeasured magnetic field strength of the magnetic material. In certainembodiments, a display connected to the processor may display theposition of the magnetic material of the stylet 10 in athree-dimensional space. Accordingly, a detection apparatus, such as theexemplary detection apparatus described herein, may detect the magneticfield generated by the magnetic material of stylet 10 positioned withina patient's body in order to determine the position and/or orientationof at least a portion of stylet 10.

FIG. 2 is a partial cross-sectional side view of an exemplary stylet 10according to at least one embodiment. As seen in this figure, exemplarystylet 10 may comprise a tubular member 54 circumferentially disposedabout at least a portion of an elongated core element 60. Core element60 may be formed in any number of shapes and sizes and of any number orcombination of suitable materials; including, for example, conventionalstylet materials such as stainless steel. Similarly, tubular member 54,which generally represents any structure capable of at least partiallysurrounding at least a portion of core element 60, may be formed of anynumber or combination of materials; including, for example, polymers(such as polyimide, silicone, or so-called heat shrink tubing), metal,or other suitable materials. Tubular member 54 may be positioned so asto surround all or merely a portion of the length of core element 60.For example, in the exemplary embodiment illustrated in FIG. 2, tubularmember 54 may be coupled to, and at least partially surround, a distalregion 56 of core element 60. In additional embodiments, described andillustrated below, tubular member 54 may extend along the entire lengthof core element 60; i.e., from distal end 16 to proximate end 14.Tubular member 54 may also be coupled or affixed to at least a portionof core element 60 in any number of ways; including, for example, byadhering, melting, or otherwise affixing tubular member 54 to the outersurface of core element 60.

In at least one embodiment, exemplary stylet 10 may comprise one or moremagnetic elements 70. As detailed above, magnetic elements 70 maycomprise any type or form or magnetic material, such as, for example, arare-earth magnet or a ceramic magnetic material. In general, magneticelements 70 may be positioned within either a select region of, orthroughout the entirety of, elongated body 11. For example, in theexemplary embodiment illustrated in FIG. 2, magnetic elements 70 may bepositioned within a distal region 20 of stylet 10. In certainembodiments, magnetic elements 70 may be housed within tubular member54. In general, magnetic elements 70 may be retained within tubularmember 54 in any number of ways; including, for example, by a closureelement 62 provided at the distal end 16 of stylet 10. In additionalembodiments, magnetic elements 70 may be coupled to tubular member 54 byan adhesive, polymer, gel, epoxy, or other suitable material.

In at least one embodiment, one or more gaps 52 may be provided betweenlongitudinally adjacent magnetic elements 70. In certain embodiments,gaps 52 may increase the flexibility of distal region 20 of stylet 10and may allow tubular member 54 to be bent without bringinglongitudinally adjacent magnetic elements 70 into contact with oneanother. The size and configuration of gaps 52 may also be modified asneeded to impart a desired level of stiffness or flexibility to distalregion 20 of stylet 10. In addition, gaps 52 may be filled with a pliantfilling material, such as, for example, silicone, rubber, or any othersuitable material. In certain embodiments, gaps 52 may enable exemplarystylet 10, in combination with a catheter, to traverse an arcuatesubcutaneous path within a patient.

As detailed above, tubular member 54 may be formed of any number orcombination of materials. For example, in at least one embodiment,tubular member 54 may comprise a metal or metallic material thatexhibits a desired level of stiffness. In this exemplary embodiment, thestiffness or flexibility of tubular member 54 may be adjusted bymodifying the thickness of the outer wall of metallic tubular member 54and/or by defining a plurality of grooves, holes, notches, or otherfeatures within the outer wall of tubular member 54, as discussed ingreater detail below.

FIG. 3 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this exemplaryembodiment, exemplary stylet 10 may comprise a tubular member 54circumferentially disposed about an elongated core element 60 and aplurality of magnetic elements 70. In contrast to the exemplaryembodiment illustrated in FIG. 2, tubular member 54 may extend along,and be circumferentially disposed about, substantially the entire lengthof core element 60. In other words, tubular member 54 may extendsubstantially between proximal end 14 and distal end 16 of exemplarystylet 10. In certain embodiments, this configuration may help resistmovement of core element 60 relative to tubular member 54.

FIG. 4 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this figure, exemplarystylet 10 may comprise an elongated core element 60, a tubular member 54circumferentially disposed about a distal region 56 of core element 60,and a plurality of magnetic elements 70 housed within tubular member 54proximate distal region 20. In at least one embodiment, exemplary stylet10 may also comprise at least one support element 80 circumferentiallydisposed about at least a portion of core element 60. Support element 80generally represents any form or type of structure or element capable ofproviding a select level of flexibility or rigidity to core element 60and/or exemplary stylet 10. Examples of support element 80 includesupport coils, wires, or the like. In certain embodiments, supportelement 80 may be affixed or bonded to at least a portion of the outersurface of core element 60, which may allow for select tailoring of theamount of rigidity or stiffness provided by support element 80.Optionally, support element 80 may be integrally formed with, ordisposed within, at least a portion of core element 60. In certainembodiments, and as illustrated in FIG. 4, the distal end of supportelement 80 may be positioned proximate or adjacent to the proximal endof tubular member 54.

FIG. 5 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this figure, exemplarystylet 10 may comprise an elongated core element 60, a tubular member 54circumferentially disposed about substantially the entire length of coreelement 60, and a plurality of magnetic elements 70 housed withintubular member 54 proximate distal region 20. In at least oneembodiment, tubular member 54 of exemplary stylet 10 may also comprise areinforcing element 55. Reinforcing element 55 generally represents anytype or form of structure capable of providing a desired level offlexibility or stiffness to tubular member 54 and/or exemplary stylet10. Examples of reinforcing element 55 include a reinforcing coil orbraid, a flexible reinforcing wire, or the like. Reinforcing element 55may be positioned within, integrally formed with, adhered to, orotherwise attached to tubular member 54 in any number of ways.Reinforcing element 55 may also be oriented relative to exemplary stylet10 in any number of ways; including, for example, longitudinally alongat least a portion of the length of stylet 10 (i.e., longitudinallyalong an elongation axis of stylet 10) or radially about portions ofstylet 10 (e.g., radially, helically, or otherwise wrapped aboutportions of stylet 10). In addition, reinforcing element 55 may or maynot be coupled to tubular member 54. As with tubular member 54,reinforcing member 55 may extend along a portion of core element 60within a region 56, or may extend along substantially the entire lengthof core element 60 (i.e., from the proximal end 14 to the distal end 16of stylet 10). In certain embodiments, the size, length, or stiffnessof, and/or the material used to form reinforcement element 55 may beselected based on a desired level of flexibility or rigidity for stylet10.

FIG. 6 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this exemplaryembodiment, exemplary stylet 10 may comprise an elongated core element60, a tubular member 54 circumferentially disposed about a distal region56 of core element 60, and a plurality of magnetic elements 70 housedwithin tubular member 54 proximate distal region 20. As mentioned above,tubular member 54 may also comprise features that influence itsflexibility or stiffness. For example, as shown in FIG. 6, one or moregrooves 97 may be defined along the outer surface of tubular member 54to provide a desired level of flexibility to tubular member 54. Grooves97, which may be formed in any number of shapes and sizes, generallyrepresent any form of groove, indentation, hole, aperture, or notchdefined into or through one or more portions of tubular member 54.Examples of grooves 97 include, without limitation, circumferentialgrooves, longitudinally extending grooves, helical grooves, holes, orother suitable features. Grooves 97 may be defined along or throughtubular member 54 by any number of processes known in the art;including, for example, laser machining, electrode discharge machining,etching, grinding, or sawing (e.g., with a diamond-coated wafer dicingsaw). Similar to the exemplary embodiment illustrated in FIG. 5, and asshown in FIG. 6, tubular member 54 may be closed at the distal end 16 ofstylet 10 by a weld element 30. As with closure element 62, weld element30 generally represents any form or type of structure used to retainmagnetic elements 70 within tubular member 54.

FIG. 7 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this figure, exemplarystylet 10 may comprise an elongated core element 60, a support element80 circumferentially disposed about at least a portion of core element60, a tubular member 54 comprising a reinforcing element 55circumferentially disposed about a distal region 56 of core element 60,and a plurality of magnetic elements 70 housed within tubular member 54proximate distal region 20. As detailed above, the stiffness or rigidityof exemplary stylet 10 may be modified or tailored as desired by addingor removing support element 80, tubular member 54, and/or reinforcingelement 55. In the exemplary embodiment illustrated in FIG. 7, each ofthese elements may be used in combination to impart a greater amount ofstiffness or rigidity to stylet 10.

FIG. 8 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this figure, exemplarystylet 10 may comprise an elongated core element 60, a tubular member 54circumferentially disposed about core element 60, and a plurality ofmagnetic elements 70 housed within tubular member 54 proximate distalregion 20. In addition, as opposed to comprising a weld element 30 or aclosure element 62, tubular member 54 may comprise a closed end 58.Because tubular member 54 may comprise a closed end 58, as opposed tocomprising a weld element 30 or a closure element 62, additionalprocesses for forming either weld element 30 or closure element 62 maybe avoided.

FIG. 9 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this exemplaryembodiment, exemplary stylet 10 may comprise an elongated core element60, a support element 80 circumferentially disposed about at least aportion of core element 60, a tubular member 54 circumferentiallydisposed about core element 60, and a plurality of magnetic elements 70housed within tubular member 54 proximate distal region 20. Asillustrated in FIG. 9, tubular member 54 may be circumferentiallydisposed about substantially the entire length of both support element80 and core element 60 (i.e., from the distal end 16 of stylet 10 toproximate end 14). In addition, as with the exemplary embodimentillustrated in FIG. 8, tubular member 54 may comprise a closed end 58.As with previous embodiments, a filling material 71 may also be disposedbetween magnetic elements 70 within tubular member 54. As detailedabove, filling material 71 may comprise any number of suitable pliantmaterials to maintain or facilitate separation of adjacent magneticelements 70, thereby providing a desired level of flexibility to distalregion 20 of stylet 10. In additional embodiments, in place of fillingmaterial 71, spacing elements (such as spacing elements 92, described inconnection with FIG. 23 below) may be positioned between longitudinallyadjacent magnetic elements 70.

FIG. 10 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this exemplaryembodiment, exemplary stylet 10 may comprise an elongated core element60 and a support element 80 circumferentially disposed aboutsubstantially the entire length of core element 60. In at least oneembodiment, at least a portion of support element 80, core element 60,or both, may comprise a magnetic material. For example, as shown in FIG.10, support element 80 may comprise a magnetic material within amagnetic region 40, while comprising a non-magnetic material within anon-magnetic region 41. In certain embodiments, support element 80 maybe manufactured by first forming support element 80 of a non-magnetizedmaterial and then magnetizing a select portion (e.g., magnetic region40) of support element 80. In another embodiment, support element 80 maybe formed to initially include a magnetic material within region 40.Magnetization of magnetic region 40 may be accomplished by utilizing anyknown material or process for magnetization as known in the art, withoutlimitation.

FIG. 11 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this exemplaryembodiment, exemplary stylet 10 may comprise an elongated core element60 and a support element 80 circumferentially disposed aboutsubstantially the entire length of core element 60. In at least oneembodiment, stylet 10 may also comprise a magnetic coil 81circumferentially disposed about a select portion of core element 60.For example, as illustrated in FIG. 11, magnetic coil 81 may becircumferentially disposed about a distal region of core element 60 toform a magnetic region 40. In certain embodiments, magnetic coil 81 maybe longitudinally disposed between portions (e.g., coils) of supportelement 80. Optionally, magnetic coil 81 may be circumferentiallydisposed about (i.e., radially surround) support element 80.

FIG. 12 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this exemplaryembodiment, exemplary stylet 10 may comprise an elongated core element60 and a support element 80 circumferentially disposed aboutsubstantially the entire length of core element 60. In at least oneembodiment, at least a portion of core element 60 may comprise amagnetic material. For example, as shown in FIG. 12, core element 60 maycomprise a non-magnetic portion within non-magnetic region 41 of stylet10 and a magnetic portion within magnetic region 40 of stylet 10. Incertain embodiments, core element 60 may be formed by initiallyincluding a magnetic material within core element 60 in magnetic region40. Optionally, core element 60 may be formed by magnetizing a selectportion (i.e., magnetic region 40) of core element 60. Advantageously,magnetizing a select portion of exemplary stylet 10 (e.g., supportelement 80, core element 60, or both), as opposed to housing a pluralityof magnetic elements 70 within a tubular member, may provide a greateramount of flexibility to exemplary stylet 10.

FIG. 13 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this figure, exemplarystylet 10 may comprise an elongated core element 60, a support element80 circumferentially disposed about at least a portion of core element60, and a tubular member 54 circumferentially disposed about at least aportion of both support element 80 and core element 60. In at least oneembodiment, at least a portion of tubular member 54 may be magnetic. Forexample, as illustrated in FIG. 13, tubular member 54 may comprise anon-magnetic portion 57 and a magnetic portion 59. As with core element60, the magnetic portion 59 of tubular member 54 may be formed of anytype or form of magnetic material.

FIG. 14 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this figure, exemplarystylet 10 may comprise an elongated core element 60, a support element80 circumferentially disposed about at least a portion of core element60, and a tubular member 54 circumferentially disposed about at least aportion of both support element 80 and core element 60. In at least oneembodiment, and as illustrated in FIG. 14, at least a portion of tubularmember 54 may be at least partially melted to flow between adjacentportions (e.g., coils) of support element 80. As used herein, the term“melt” broadly refers to any process or method in which the glasstransition temperature of tubular member 54 is exceeded. In certainembodiments, tubular member 54, when at least partially melted, may beformed or shaped by a mold or mandrel.

FIG. 15 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this figure, exemplarystylet 10 may comprise an elongated core element 60 and a supportelement 80 circumferentially disposed about at least a portion of coreelement 60. In at least one embodiment, core element 60 may comprise afirst region 63, a second region 66, and a transition region 64extending between first region 63 and second region 66. As seen in FIG.15, second region 66 may have a second diameter D2 that is smaller thana first diameter D1 of first region 63. In certain embodiments,transition region 64, second region 66, or both may be formed bycenterless grinding or any other processes known in the art. In anotherembodiment, first region 63 and second region 66 may be separateelements coupled or connected to one another. In addition, regions 63,64, and 66 may each represent separate elements that may be coupled orconnected to one another. Advantageously, the reduced diameter of secondregion 66, which may be provided proximate a distal region 20 of stylet10, may exhibit increased flexibility to enable stylet 10 to traverse anarcuate subcutaneous path within a patient.

FIG. 16 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this figure, exemplarystylet 10 may comprise an elongated core element 60 and a supportelement 80 circumferentially disposed about at least a portion of coreelement 60. As with the exemplary embodiment illustrated in FIG. 15,core element 60 may comprise a first region 63, a second region 66having a diameter that is less than the diameter of first region 63, anda transition region 64 extending between first region 63 and secondregion 66. In addition, exemplary stylet 10 may comprise one or moremagnetic elements 70 circumferentially disposed about second region 66.In at least one embodiment, magnetic elements 70 may be generallycylindrical and/or toroidal in shape. Additionally, a weld element 30may be provided at the distal end 16 of stylet 10 to position magneticelements 70 around second region 66 of core element 60. In additionalembodiments, magnetic elements 70 may be coupled to second region 66 by,for example, adhesives, threads, pins, or other suitable attachmentmeans.

FIG. 17 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this figure, exemplarystylet 10 may comprise an elongated core element 60 and a supportelement 80 circumferentially disposed about at least a portion of coreelement 60. As with the exemplary embodiments illustrated in FIGS. 15and 16, core element 60 may comprise a first region 63, a second region66 having a diameter that is less than the diameter of first region 63,and a transition region 64 extending between first region 63 and secondregion 66. In at least one embodiment, a magnetic material may bepress-fit or sintered to core element 60 about second region 66. Forexample, as illustrated in FIG. 17, a magnetic slug 74 may be press-fitor sintered to core element 60 in second region 66. In certainembodiments, one or more grooves 75 may be defined along the outersurface of magnetic slug 74 to provide a desired level of flexibility tomagnetic slug 74. Similar to grooves 97, grooves 75 may be formed in anynumber of shapes and sizes. Examples of grooves 75 include, withoutlimitation, circumferential grooves, longitudinally extending grooves,helical grooves, holes, or other suitable features.

FIGS. 18 and 19 are partial cross-sectional side views of an exemplarystylet 10 according to an additional embodiment. As seen in FIG. 18,exemplary stylet 10 may comprise an elongated core element 60, a tubularmember 54 circumferentially disposed about at least a portion of coreelement 60, and a plurality of magnetic elements 70 housed withintubular member 54. In at least one embodiment, at least one magneticelement 70 may be coupled to core element 60 by deforming, pressing,sintering, melting, or otherwise attaching at least a portion of tubularmember 54 to both core element 60 and magnetic element 70. In addition,as illustrated in FIG. 19, tubular member 54 may be positioned at leastpartially between adjacent magnetic elements 70 to maintain thelongitudinal separation (i.e., gaps 52) between adjacent magneticelements 70.

FIG. 20 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this figure, exemplarystylet 10 may comprise an elongated core element 60 comprising a firstregion 63, a second region 66 having a diameter that is less than thediameter of first region 63, and a transition region 64 extendingbetween first region 63 and second region 66. In at least oneembodiment, a coating 76 may be circumferentially disposed about atleast a portion of core element 60 (e.g., distal region 56 of coreelement 60). Coating 76 may also be circumferentially disposed about oneor more magnetic elements 70 to effectively couple magnetic elements 70to core element 60. Coating 76, which generally represents any type orform of coating material, may be formed of any number or combination ofmaterials; including, for example, polymers (such as polyimide,silicone, or so-called heat shrink tubing), metal, or other suitablematerials. In general, coating 76 may be disposed about core element 60and/or magnetic elements 70 by spraying, molding, dipping, or otherwiseaffixing coating 76 to core element 60 and/or magnetic elements 70. Incertain embodiments, coating 76 may comprise a pliant material to imparta desired level of flexibility or rigidity to a distal region of stylet10.

FIG. 21 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this exemplaryembodiment, exemplary stylet 10 may comprise an elongated core element60, a helical member 24 circumferentially disposed about at least aportion of core element 60, and a plurality of magnetic elements 70housed within helical member 24. Generally speaking, helical member 24represents any type or form of structure capable of helicallysurrounding at least a portion of core element 60 and/or magneticelements 70. In at least one embodiment, helical member 24 may beaffixed to core element 60, magnetic elements 70, or both. In certainembodiments, the helical configuration and material comprising helicalmember 24 may provide a desired level of flexibility to stylet 10. Inaddition, as illustrated in FIG. 21, core element 60 may also comprise aso-called mandrel having an enlarged distal end 68.

FIG. 22 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this figure, exemplarystylet 10 may comprise an elongated core element 60, a tubular member 54positioned proximate a distal region 20 of stylet 10, and a plurality ofmagnetic elements 70 housed within tubular member 54. In at least oneembodiment, a support element 80 may be circumferentially disposed aboutsubstantially the entire lengths of both core element 60 and tubularmember 54 to effectively couple tubular member 54 (and magnetic elements70 housed therein) to core element 60. A weld element 30 may also beprovided proximate the distal end 16 of stylet 10 to effectively retainmagnetic elements 70 within tubular member 54. In certain embodiments,support element 80 may be welded or otherwise affixed to weld element30.

FIG. 23 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this figure, exemplarystylet 10 may comprise an elongated core element 60, a support member 80circumferentially disposed about at least a portion of core element 60,a tubular member 54 circumferentially disposed about substantially theentire lengths of core element 60 and support member 80, and a pluralityof magnetic elements 70 housed within tubular member 54 proximate adistal region of stylet 10. As with the exemplary embodimentsillustrated in FIGS. 15-17, core element 60 may comprise a first region63, a second region 66 having a diameter that is less than the diameterof first region 63, and a transition region 64 extending between firstregion 63 and second region 66. As with previous embodiments, magneticelements 70 may be positioned about second region 66 of core element 60.In addition, in at least one embodiment, one or more spacing elements 92may be positioned longitudinally between adjacent magnetic elements 70.Spacing elements 92, which may be formed of any number or combination ofmaterials, generally represent any type or form of structure capable ofseparating longitudinally adjacent magnetic elements 70. In certainembodiments, a weld element 30 may be provided proximate distal end 16to effectively retain magnetic elements 70 and spacing elements 92within tubular member 54 and around second region 66 of core element 60.

FIG. 24 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this figure, exemplarystylet 10 may comprise an elongated core element 60, a support member 80circumferentially disposed about at least a portion of core element 60,a tubular member 54 circumferentially disposed about substantially theentire lengths of core element 60 and support member 80, and a pluralityof magnetic elements 70 housed within tubular member 54 proximate adistal region of stylet 10. As with previous embodiments, a captureelement 62 may be provided proximate distal end 16 to effectively retainmagnetic elements 70 within tubular member 54. In at least oneembodiment, a protective coating 78 may be applied the proximal anddistal surfaces of each magnetic element 70. Protective coating 78,which may be formed of any number or combination of materials, generallyrepresents any type of material capable of preventing direct contactbetween adjacent magnetic elements 70. In certain embodiments,protective coating 78 may be applied to magnetic elements 70 so as toform an arcuate shape on the proximal and distal ends of magneticelements 70 to facilitate the bending of a distal region of stylet 10.As with previous embodiments, and as discussed in greater detail above,interstitial space 44 may be filled with a filler material, such assilicone, rubber, fluid, or other suitable material.

FIG. 25 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this figure, exemplarystylet 10 may comprise an elongated core element 60, a tubular member 54circumferentially disposed about core element 60 and extending fromproximate end 14 to distal end 16 of stylet 10, a plurality of magneticelements 70 housed within tubular member 54 proximate a distal region ofstylet 10, and a support member 80 circumferentially disposed aboutsubstantially the entire lengths of both tubular member 54 and coreelement 60. As with previous embodiments, a weld element 30 may beprovided proximate distal end 16 of stylet 10 to effectively retainmagnetic elements 70 within tubular member 54.

FIG. 26 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this figure, exemplarystylet 10 may comprise an elongated core element 60 having a firstregion 63, a second region 66 having a diameter that is less than thediameter of first region 63, and a transition region 64 extendingbetween first region 63 and second region 66. In at least oneembodiment, a magnetic coating 72 may be disposed about at least aportion of core element 60. For example, as illustrated in FIG. 26,magnetic coating 72 may be disposed over second region 66 of coreelement 60. In additional embodiments, magnetic coating 72 may extendover any portion of core element 60, including its entire length,without limitation.

FIG. 27 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this figure, exemplarystylet 10 may comprise first and second elongated core element portions60 and one or more magnetic elements 70 and disposed between these coreelement portions 60. In at least one embodiment, a tubular member 54 maybe circumferentially disposed about magnetic elements 70 and at least aportion of each core element portion 60 to effectively retain magneticelements 70 within stylet 10. In certain embodiments, a support member80 may also be circumferentially disposed about at least a portion ofeach core element portion 60.

FIG. 28 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this figure, exemplarystylet 10 may comprise an elongated core element 60, a tubular member 54circumferentially disposed about core element 60 and extendingsubstantially the entire length of stylet 10 (i.e., from proximate end14 to distal end 16 of stylet 10), and a plurality of magnetic elements70 housed within tubular member 54 proximate a distal region of stylet10. In at least one embodiment, tubular member 54 may be adhered orotherwise affixed directly to at least a portion of core element 60 andmagnetic elements 70 to effectively couple magnetic elements 70 to coreelement 60. In an additional embodiment, a matrix material 88 may bedisposed between core element 60, tubular member 54, and/or adjacentmagnetic elements 70. Matrix material 88 generally represents any typeor form of material, such as a suspension or slurry, capable of beingdisposed between core element 60, tubular member 54, and/or adjacentmagnetic elements 70. Matrix material 88 may be formed of any number orcombination of materials; including, for example, cyanoacrylate, epoxy,polyurethane, urethane, photopolymers, heat-curable materials, silicone,rubber, or any other suitable material, without limitation. In at leastone embodiment, matrix material 88 may act as a filler, stabilizer,adhesive, or the like. In addition, in certain embodiments, matrixmaterial 88 may form a rounded end 86 proximate distal end 16 of stylet10 to effectively retain magnetic elements 70 within tubular member 54.

FIG. 29 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this figure, exemplarystylet 10 may comprise an elongated core element 60, a tubular member 54circumferentially disposed about core element 60 and extendingsubstantially the entire length of stylet 10 (i.e., from proximate end14 to distal end 16 of stylet 10), and a single elongated magneticelement 70 housed within tubular member 54 proximate distal region 20 ofstylet 10. As with tubular member 54, magnetic element 70 may beconfigured to exhibit a desired level of stiffness or flexibility. Incertain embodiments, tubular member 54 may be adhered or otherwiseaffixed directly to at least a portion of core element 60 and/ormagnetic element 70 to effectively couple magnetic element 70 to coreelement 60. In an additional embodiment, a matrix material 88 may bedisposed between tubular member 54, core element 60, and/or magneticelement 70.

FIG. 30 is a partial cross-sectional side view of an exemplary stylet 10according to an additional embodiment. As seen in this figure, exemplarystylet 10 may comprise an elongated core element 60, a tubular member 54circumferentially disposed about core element 60 and extendingsubstantially the entire length of stylet 10 (i.e., from proximate end14 to distal end 16 of stylet 10), and a plurality of magnetic elements70 housed within tubular member 54 proximate distal region 20 of stylet10. In at least one embodiment, core element 60 may comprise a so-calledmandrel having an enlarged leading end 68. A closure element 31 forminga generally rounded end 86 may also be provided proximate the distal end16 of stylet 10 to effectively retain magnetic elements 70 withintubular member 54. Closure element 31 may be affixed or otherwiseattached to tubular member 54 in any number of ways; including, forexample, by welding, bonding, adhering, or otherwise mechanicallyaffixing closure element 31 to tubular member 54. Closure element 31 mayalso be formed of one or more adhesive materials, such as epoxy, andbonded to the tubular member 54.

In certain embodiments, a tubular sleeve 94 may be circumferentiallydisposed about and mechanically or chemically coupled to both theenlarged leading end 68 of core element 60 and at least one of magneticelements 70 to effectively couple magnetic elements 70 to core element60. Tubular sleeve 94 generally represents any type or form of materialcapable of being circumferentially disposed about core element 60 and/orat least one magnetic element 70. In certain embodiments, tubular sleevemay comprise a material that contracts or reduces in size (i.e.,“shrinks”) when heated to effectively couple one or more magneticelements 70 to core element 60. In at least one embodiment, exemplarystylet 10 may be assembled by disposing tubular sleeve 94 about theenlarged leading end 68 of core element 60 and contracting (e.g., byapplying heat to a select portion of tubular sleeve 94 using, forexample, a heat gun) at least a portion of tubular sleeve 94 aboutenlarged leading end 68. In addition, magnetic elements 70 may beretained within tubular sleeve 94 by contracting at least a portion oftubular sleeve 94 (e.g., by applying heat to at least a portion oftubular sleeve 94) about magnetic elements 70. In additionalembodiments, tubular sleeve 94 may be configured to contract about(i.e., circumferentially engage) at least a portion of closure element31 without engaging magnetic elements 70.

FIGS. 31-34 are partial cross-sectional end views of exemplary stylets10. As illustrated in these figures, stylet 10 may comprise one or moreelongated core elements 60. For example, stylet 10 may comprise a singlecore element 60 (FIG. 31), two core elements 60 (FIG. 32), three coreelements 60 (FIG. 33), four core elements 60 (FIG. 34), or more. Incertain embodiments, each core element 60 in exemplary stylet 10 may beformed so as to be substantially identical to one another. In additionalembodiments, each core element 60 in stylet 10 may be structurallyunique. In addition, in any of the above-described exemplaryembodiments, one or more than one core element 60 may comprise amagnetic portion. Advantageously, by employing a plurality of coreelements 60 having unique magnetic configurations, a user may be able toprecisely identify the location of distal region 20 of stylet 10 alongselect x, y, and z axes (i.e., pitch, yaw, and roll).

FIG. 35 is a partial cross-sectional end view of an exemplary catheterassembly 100 according to at least one embodiment. As illustrated inthis figure, catheter assembly 100 may comprise a plurality of stylets10 disposed within a catheter 90. Any number or configuration of stylets10 may be disposed within catheter 90 of catheter assembly 100, withoutlimitation. For example, catheter assembly 100 may comprise one, two,three, four, or more stylets 10 disposed within exemplary catheter 90.As with the exemplary embodiments illustrated in FIGS. 31-34, eachstylet 10 disposed within catheter 90 may be substantially identical toone another, or structurally unique from each other. In addition, byemploying a plurality of stylets 10 having unique magnetic elementconfigurations, a user may be able to precisely identify the location ofa distal region of catheter 90 along select x, y, and z axes (i.e.,pitch, yaw, and roll).

Although the above-described embodiments show particular configurationsof exemplary stylets comprising magnetic materials, such embodiments areexemplary. Accordingly, many different embodiments are contemplated andencompassed by this disclosure. In addition, one or more of theexemplary stylet embodiments described and/or illustrated herein may beat least partially disposed within a lumen of a catheter, cannula,hollow needle, or other suitable device to provide (i.e., impart)increased stiffness or rigidity to the device. For example, asillustrated in FIG. 36, one or more stylets 10 may be positioned withina catheter 90 of a catheter assembly 100 to facilitate the navigation ofthe catheter 90 within a select portion of a patient. For example, atleast one stylet 10 may be inserted into the lumen of a catheter 90,such as a peripherally inserted central catheter (PICC), to help guidecatheter 90 into the superior vena cava (SVC) of a patient. Catheterassembly 100 may also be used in connection with other suitableapplications, as desired.

The preceding description has been provided to enable others skilled inthe art to best utilize various aspects of the exemplary embodimentsdescribed herein. This exemplary description is not intended to beexhaustive or to be limited to any precise form disclosed. Manymodifications and variations are possible without departing from thespirit and scope of the instant disclosure. It is desired that theembodiments described herein be considered in all respects illustrativeand not restrictive and that reference be made to the appended claimsand their equivalents for determining the scope of the instantdisclosure. In addition, for ease of use, the words “including” and“having,” as used in the specification and claims, are interchangeablewith and have the same meaning as the word “comprising.”

What is claimed is:
 1. An elongated medical device, comprising: a coreelement having a distal region including: a first region with a firstdiameter; a second region with a second diameter less than the firstdiameter, the second region distal of the first region and terminatingat a core element distal end; and a transition region tapering from thefirst diameter to the second diameter, the second diameter of the secondregion extending from the transition region to the core element distalend; a support member circumferentially disposed about a length of thefirst region, the length of the first region having a constant diameter;a polymer member circumferentially disposed about an entire length ofthe core element and extending distal of the core element distal end; aclosure element affixed to a distal end of the polymer member; and apermanent magnetic element disposed along the second region proximal tothe core element distal end.
 2. The elongated medical device accordingto claim 1, further comprising the support member circumferentiallydisposed about the first region, the polymer member disposed over thesupport member.
 3. The elongated medical device according to claim 1,wherein the permanent magnetic element comprises a plurality of magneticelements spaced apart along the second region.
 4. The elongated medicaldevice according to claim 3, further comprising a plurality of spacingelements, each of the plurality of spacing elements disposed betweenadjacent magnetic elements.
 5. The elongated medical device according toclaim 1, wherein the closure element comprises one or more adhesivematerials bonded to the polymer member.
 6. The elongated medical deviceaccording to claim 1, wherein the closure element comprises a weldmember.
 7. The elongated medical device according to claim 1, whereinthe closure element includes a rounded distal end.
 8. The elongatedmedical device according to claim 1, wherein the permanent magneticelement comprises a rare-earth magnetic element.
 9. The elongatedmedical device according to claim 1, wherein the permanent magneticelement comprises an AlNiCo magnetic element.
 10. The elongated medicaldevice according to claim 1, wherein the permanent magnetic elementcomprises a PANiCNQ magnetic element.
 11. The elongated medical deviceaccording to claim 1, wherein the permanent magnetic element comprises aceramic magnetic element.
 12. The elongated medical device according toclaim 1, wherein the permanent magnetic element comprises a magneticslug.
 13. The elongated medical device according to claim 12, whereinthe magnetic slug includes one or more grooves defined along an outersurface of the magnetic slug.
 14. An elongated medical device,comprising: a core element having a distal region for insertion into abody of patient, the distal region including: a first region with afirst diameter; a second region with a second diameter less than thefirst diameter, the second region distal of the first region andterminating at a core element distal end; a support membercircumferentially disposed about a length of the first region, thelength of the first region having a constant diameter; a polymer membercircumferentially disposed about an entire length of the core elementand extending distal of the core element distal end; a weld memberaffixed to a distal end of the polymer member; and a permanent magneticelement disposed along the second region proximate the core elementdistal end.
 15. The elongated medical device according to claim 14,wherein the permanent magnetic element comprises a plurality of magneticelements spaced apart along the second region.
 16. The elongated medicaldevice according to claim 15, further comprising a plurality of spacingelements, each of the plurality of spacing elements disposed betweenadjacent magnetic elements.
 17. The elongated medical device accordingto claim 14, further comprising a transition region tapering from thefirst diameter to the second diameter, the second diameter of the secondregion extending from the transition region to the core element distalend.
 18. The elongated medical device according to claim 1, wherein thesecond region has a straight unstressed configuration.
 19. An elongatedmedical device, comprising: a core element having a distal region forinsertion into a body of patient, the distal region including: a firstregion with a constant first diameter; a second region with a constantsecond diameter less than the first diameter, the second region distalof the first region and terminating at a core element distal end, thesecond region having a straight unstressed configuration; a polymermember circumferentially disposed about an entire length of the coreelement and extending distal of the core element distal end; a closureelement affixed to a distal end of the polymer member; and a pluralityof permanent magnetic elements disposed along the second regionproximate the core element distal end.